Steam Sterilization Principles
Steam Sterilization Principles
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1. Time
The exposure (sterilization) time is a critical factor simply
because all the organisms do not die at the same time. A
minimum amount of time at sterilization temperature is
required to kill all the organisms. Geobacillus stearothermophilus (Bst) spores are generally used to test steam sterilizer cycles because they are extremely resistant to moist heat
sterilization. They are also non-pathogenic and commercially readily available. The number of survivors is usually
plotted on a logarithmic scale. A straight line survivor curve
such as the one shown in Figure 1 is typical.
The D-value (time to reduce the microbial population by
90%) for Bst should be 1.5 to 3.0 minutes at 121.1C (250F)
.1 For the purpose of this discussion, a D121 value of 2.0 minutes and a sterilization temperature of 121C (250F) is used.
A typical sterilization cycle will include an exposure phase
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2. Temperature
The second critical factor in steam sterilization is the temperature of the saturated steam controlled in the chamber of
the sterilizer. Figure 2 clearly demonstrates how increasing
the temperature dramatically reduces the time needed to
achieve sterilization. Figure 2 illustrates approximately how
much time is required to achieve equivalent microbial lethality (SAL 100 with a starting population of 106, D121- value 2.0
minutes) at different moist heat exposure temperatures.3
The temperature of saturated steam is directly related to the
pressure at which it is controlled. The pressure-temperature
relationship values are shown in saturated steam tables.4
A typical cycle at 121C (250F) will require 15 to 17 lbs of
gauge pressure (103 to 117 kPa) in the chamber of the sterilizer. The gauge pressure required will be higher than the
pressure shown in the saturated steam table due to air mixed
with the steam and elevation above sea level. The maximum
pressure in an autoclave is limited by the specifications
(ASME pressure rating) of the pressure vessel (chamber and
jacket).
3. Moisture
Moisture in the steam has a major impact on its ability to
denature, or coagulate proteins; hence the importance of
using saturated steam. Saturated steam is at equilibrium
with heated water at the same pressure, which means it
contains the maximum amount of moisture without liquid
condensate present. Saturated steam is recommended for
steam sterilization. Not all steam is acceptable for use in a
sterilizer. A dedicated clean steam supply is recommended.
Superheated steam, steam containing excessive liquid water,
and steam containing excessive boiler additives or contaminates (such as rust) should be avoided. Superheated steam
is defined as steam that is above its saturation temperature.
Superheat occurs in steam distribution systems when the
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5. Air Removal
Air is the biggest deterrent to steam sterilization. Air must
be removed from the chamber and the load before direct
steam contact and sterilization can occur. This is accom-
by accumulated Fo for liquids if a load probe and appropriate sterilizer controls are used. Refer to point #7 in
common mistakes section below for more information on
F o.
3. Post-Conditioning: during this phase, dry goods loads
are cooled and dried or a liquids load is cooled. The
chamber pressure is brought to atmospheric.
6. Drying
Over the years, various cycles have been developed for different applications. It is critical that the proper cycles be
used.
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Since air is generally a deterrent to sterilization, a Prevacuum cycle (alternating vacuum and pressure preconditioning pulses) is recommended for all loads other
than liquids (Figure 4).
Measuring Performance
Several methods can be used to verify the efficacy of the sterilization process. Typical methods use Biological Indicators
(BIs) and Chemical Indicators (CIs) that are placed in worst
case positions in the load and/or in test packs.
Figure 5. Self-Contained Biological Indicators (SCBI).
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Conclusion
Steam sterilization is a process that is dependent on basic
principles that are sometimes unknown or disregarded by
the sterilizer user. A large percentage of steam sterilizer
failures can be solved by logical and practical application of
these basic principles. It should be noted that proper training for sterilizer users should include this education. Proper
wrapping and loading techniques are critical for safe and
successful sterilization. As with any critical process equipment, proper maintenance and calibration is essential.
References
1. USP 35 <1035>, Biological Indicators for Sterilization,
Table 1.
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